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食道癌新探索(续4)

(2009-11-29 10:17:21)
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杂谈

The importance of followup care

 

Followup care after treatment for esophageal cancer is important to ensure that any changes in health are found. If the cancer returns or progresses or if a new cancer develops, it can be treated as soon as possible. Checkups may include physical exams, x-rays, or lab tests. Between scheduled appointments, patients should report any health problems to their doctor as soon as they appear.

 

Providing emotional support

 

Living with a serious disease is challenging. Apart from having to cope with the physical and medical challenges, people with cancer face many worries, feelings, and concerns that can make life difficult. They may find they need help coping with the emotional as well as the practical aspects of their disease. In fact, attention to the emotional burden of having cancer is often a part of a patient's treatment plan. The support of the health care team (doctors, nurses, social workers), support groups, and patient-to-patient networks can help people feel less isolated and distressed, and improve the quality of their lives. Cancer support groups provide a setting in which cancer patients can talk about living with cancer with others who may be having similar experiences. Patients may want to speak to a member of their health care team about finding a support group.

 

Questions for your doctor

 

Asking your doctor the following questions will help you further understand your condition. To help you remember what the doctor says, you may take notes or ask whether you may use a tape recorder. Some people also want to have a family member or friend with them when they talk to the doctor -- to take part in the discussion, to take notes, or just to listen.

 

 

Diagnosis

 

·           What tests can diagnose esophageal cancer? Are they painful?


·           How soon after the tests will I learn the results?

 

Treatment

 

·           What treatments are recommended for me?


·           What clinical trials are appropriate for my type of cancer?


·           Will I need to be in the hospital to receive my treatment? For how long?


·           How might my normal activities change during my treatment?

 

Side Effects

 

·           What side effects should I expect? How long will they last?


·           Whom should I call if I am concerned about a side effect?


·           What will be done if I have pain?

 

Followup

 

·           After treatment, how often do I need to be checked? What type of followup care should I have?


·           What type of nutritional support will I need? Where can I get it?


·           Will I eventually be able to resume my normal activities?

 

The Health Care Team

 

·           Who will be involved with my treatment and rehabilitation? What is the role of each member of the health care team in my care?


·           What has been your experience in caring for patients with esophageal cancer?

 

Resources

 

·           Are there support groups in the area with people I can talk to?


·           Are there organizations where I can get more information about cancer, specifically esophageal cancer?


·           Are there Web sites I can visit that have accurate information about cancer, especially esophageal cancer?

 

http://www.medicinenet.com/esophageal_cancer/page6.htm

翻译:大连翻译职业学院英语学院07英日1  赵阳

随访护理的重要性

食道癌治疗之后的随访护理是极其重要的,它可以保证医生们发现患者在健康状态下的任何变化。如果一旦癌症复发或有所进一步恶化,或病变为其它癌症,那么就可以使医生对患者进行尽快的治疗。检查可能包括体检, X射线检查,或化验。在定期的与医生的约见过程中,患者一旦出现了何种新的症状,应尽快告诉给医生。

提供情感上的支持

带有一身严重疾病来过活是十分具有挑战性的。除了不得不去处理身体上和医药上的挑战,癌症患者还有面临许多诸如焦虑、感性、和焦急情绪等,这些都会给患者的生活雪上加霜。患者们可能会发觉,与与他们疾病相关的实际问题相比,他们也同样需要情感上的帮助与支持。事实上,关注患癌患者的情感负担本身就是对患者进行治疗的一部分。医疗保健小组的支持(医生,护士,社会工作者),支援小组,病人与病人的联络都可以帮助患者不感到那么孤独与不安,并且能够提高他们生活的质量。癌症支持团体提供了一个环境,那就是使癌症患者可以和其他的有相似经历的人共同探讨如何带着癌症来过活。患者可能很想与他们医疗保健小组的一个成员聊聊关于找一个支持小组的事情。

对于你医生的问题

向您的主治医生询问以下问题也许会帮您进一步了解您自身的情况。为了能够更好地帮助您记住医生所说的话,您可以适当地记些笔记或询问一下医生是否可以进行录音。一些患者在与医生进行交谈的时候总是希望能有自己的家人或朋友来陪同--参加讨论,帮助记笔记,或者只是听。

诊断

什么检查可以对食道癌作出诊断?这些检查痛苦吗?

我能在检查多久之后知道检查结果?

治疗

什么治疗会被推荐给我?

什么样的临床试验对于我患类型的癌症最为合适?

我需要住院接受治疗吗?要住多久?

在治疗过程中,我的正常活动会受到什么影响?

副作用

什么样的副作用是我应该预想到的?副作用会持续多久?

如果我担心副作用我应该给谁打电话?

如果我感到疼痛的话你们医生会怎么做?

随访

治疗后,我需要隔多久进行一次检查?我会接受到什么样的随访保健?

我需要什么类型的营养支持?我又将从哪来获取这些营养?

最终我能够重新开始我的正常活动吗?

医疗保健小组

谁将负责我的治疗和康复?

在对我进行护理的医疗保健小组当中,每一个成员的作用都是什么?

您护理食道癌患者的经历是什么样的?

资源

在我可以进行谈话的人群区域内是否有支持小组?

我可以从哪些组织机构获取更多的有关癌症的信息,尤其是食道癌的信息?我可以访问哪些网站来获取有关癌症的准确信息,尤其是有关食道癌的信息?

 

 

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